ECG and IABP Flashcards

1
Q

Anterior leads and Coronary Artery

A

V3, V4
LAD

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2
Q

Inferior leads and Coronary Artery

A

II, III, AVF
RCA

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3
Q

Lateral Leads and Coronary Artery

A

I, AVL, V5 and V6
LCX

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4
Q

Septal Leads and Coronary Artery

A

V1, V2
LAD

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5
Q

Posterior Leads and Coronary Artery

A

V1-V4 ST Depression, Progression of Tall R waves
LCX , RCA but the Posterior Decending Artery via the RCA is most correct

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6
Q

Chest Leads are also known as __.

A

Precordial leads

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7
Q

Limb Leads are also known as __.

A

Bipolar Leads

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8
Q

aVR, aVL, and aVF are also known as __.

A

Augmented vector leads

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9
Q

ST elevation represents

A

Myocardial Injury

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10
Q

ST Depression represents

A

Ischemia

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11
Q

Q waves that measure >25% of the R wave represents

A

infarction (necrosis)

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12
Q

Q waves with ST elevation represents

A

Acute injury

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13
Q

Qwave with ST depression represents

A

indeterminate

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14
Q

Q wave without ST changes represents

A

old infarction

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15
Q

T waves greater than 5 mm indicate and usually occures with a serum value of >7.0

A

Hyperkalemia

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16
Q

Flattened T waves/U wave presence indicate

A

Hypokalemia

17
Q

Delta wave (noted bump in the beginning of the QRS) indicate
This is present due to early conduction through the accessory pathway

A

WPW
Wolf Parkinson White

18
Q

Diffuse ST elevation, PR segment depression, fever and chest pain indicate

A

Pericarditis

19
Q

Electrical Alternans indicates

A

Pericardial effusion/tamponde

20
Q

Sequence of the blood through the heart valves

A

Tricuspid, pulmonic, mitrial, aortic

21
Q

TCA overdose usually presents with what on the ECG

A

Prolonged QT interval

22
Q

Normal Serum Potassium Level

A

3.5-5

23
Q

The IABP begins to purge during ascent, triggering mechanism for this function initiated as a result of which gas law

A

Boyles Law

24
Q

Most common site that will be dislodged when treating your IABP

A

Left Radial

25
Q

Rust colored flakes in the IABP tubing indicate

A

Ruptured balloon

26
Q

Primary trigger of the IABP

A

R wave on the ECG

27
Q

Most potentially harmful timing error in the IABP

A

late deflation

28
Q

If a loss of power occurs, what do you do to the IABP

A

inflate and deflate the balloon every 30 minutes

29
Q

ECG findings indicating possible PE

A

S1Q3T3, Right axis, right bundle branch block, inverted T waves in V1-V4

30
Q

Pericarditis ECG finding

A

ST elevation in multiple lead with a concave ST segment instead of a straight/convex as in MI,ST depression in AVR, PR depression in Lead II, and presents with a fever

31
Q

Endocarditis is caused by what type of pathogen

A

bactereal, often after valvular repair and surgery, inflamation of the inner walls of the heart

32
Q

Pericarditis/myocarditis is caused by what type of pathogen

A

Viral, caused by recent viral infection and involve inflammation of their respective prortion of the heart

33
Q

Any polymorphic VT should receive

A

Mag 1-2 G IV over 5-60 minutes 0.5-1 G/hr and titrate